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Internal Medicine

Respiratory Failure   

Questions discussed in this category

How do you approach determining appropriateness for extubation in a patient with acute respiratory failure in the setting of known chronic neuromuscular disease?
1 Answer available
Is there still a role for direct laryngoscopy in the intubation of patients in the ICU?
Multiple recent trials have shown higher first pass success rate with VL over DL.
1 Answer available
Do you administer prophylactic antibiotics to prevent VAP following intubation in patients with acute brain injury?
Do the findings of the PROPHY-VAP trial influence your approach?
2 Answers available
What factors do you consider while selecting high risk patients for prophylactic NIV after planned extubation?
1 Answer available
Does your approach to extubating obese patients differ from your approach in non-obese patients?
1 Answer available
Do you increase sedation or consider the use of neuromuscular blockade to prevent potential self-induced lung injury in patients with high respiratory drive?
2 Answers available
Do you discontinue proning due to a perceived lack of response to intervention in a patient with ARDS?
2 Answers available
What strategies do you employ to prevent post-intubation hypotension in a profoundly hypoxic patient given a paralytic for intubation?
1 Answer available
What is your approach to PEEP titration in the management of a morbidly obese patient with ARDS?
1 Answer available
Do you routinely use inhaled pulmonary vasodilators in the management of patients with ARDS with refractory hypoxemia?
1 Answer available
Do you start steroid therapy in a patient with pure ARDS without septic shock, or would you only consider steroids only in those with severe community acquired pneumonia?
To help interpret clinical applications of the CAPE COD (2023) and DEXA ARDS (2020) trials.
2 Answers available
What is your perspective on the role of respiratory therapists in managing a patient who is dyssynchronous on their current mode of mechanical ventilation?
Do your respiratory therapists independently adjust ventilator settings without direct physician involvement?
2 Answers available
Do you use prednisone in the management of patients with persistent respiratory symptoms following acute COVID-19 infection?
4 Answers available
What steroid regimen do you use in patients with both septic shock and ARDS?
Do you use hydrocortisone 200 mg/day as studied in ADRENAL/APROCCHSS or dexamethasone 20 mg/day as studied in DEXA-ARDS?
2 Answers available
What are your preferred ventilatory settings/mode(s) for patients with acute hypoxic respiratory failure presenting with severe biventricular dysfunction in cardiogenic shock?
1 Answer available
Do you employ the use of external chest compression with sandbags in the management of patients with severe ARDS who are not candidates for proning?
1 Answer available


Papers discussed in this category

Crit Care, 2021 Jul 28
Improving lung compliance by external compression of the chest wall.
Chest, 2010-05
Extubation of patients with neuromuscular weakness: a new management paradigm.
Chest, 1996 Dec
Criteria for extubation and tracheostomy tube removal for patients with ventilatory failure. A different approach to weaning.
Journal of critical care, 2011 Jan 26
Prevention of extubation failure in high-risk patients with neuromuscular disease.
JAMA, 2005-10-05
Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial.
Trials, 2016 Jul 22
Evaluating the efficacy of dexamethasone in the treatment of patients with persistent acute respiratory distress syndrome: study protocol for a randomized controlled trial.
N Engl J Med, 2023 Mar 21
Hydrocortisone in Severe Community-Acquired Pneumonia.

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